Physiology of Renal System
Physiology of Renal System
Physiology of Renal System
Physiology of
Renal System
Abu ahmed
2020
Functions of the kidneys
The kidneys are vital organs
that perform a variety of
important functions, these are:-
1. Excretion of metabolic
products & foreign substances:-
e.g
Urea from amino acid metabolism
Uric acid from nucleic acids
Creatinine from muscles
End products of hemoglobin
metabolism
Hormone metabolites
Foreign substances (e.g. drugs)
2. Regulation of body fluid
osmolarity & volume.
3. Regulation of electrolyte balance.
4.Regulation of PH (acid-base
balance) by 3 mechanisms:-
1. Reabsorption of HCO3-
2. Synthesis of new HCO3-
3. Secretion of H+
4.Regulation of arterial blood
pressure.
5. Endocrine functions:-
Renin (activates the renin-
angiotensin-aldosterone system)
Erythropoietin (stimulates red
blood cell formation by bone
marrow).
Prostaglandins (modulation of renal
blood flow ).
Activation of vitD.
6. Gluconeogenesis.
Renal anatomy
The kidneys are paired (weight about
150 g), bean-shaped organs located in
the posterior abdomen, on either side of
the vertebral column , Outside the
peritoneum.
Each kidney consist of two
parts:-
Cortex:- outer part
Renal pelvis
Structure of the kidney
The Nephron
Is the functional unit of the kidney.
Each kidney is made up of about (1- 1.5)
million nephrons.
The kidney can not regenerate new
nephrons.
Structure of Nephron
Consists of:-
1.Glomeruli ( a tuft of Glomerular
capillaries).
2.Tubules which are divided in to:-
1. Proximal convoluted tubule (PCT).
2. Loop of Henle:- which consist of:-
a. Descending limb
b. Thin & thick ascending limb .
3. Distal convoluted tubule (DCT).
4. Collecting duct:- is made up of
principle cells (p- cells) and
intercalated cells (I- cells).
Structure of nephron
Types of Nephron
There are two types:-
1.Cortical Nephron:-
85% of all nephrons in human
kidney.
Their glomeruli are found higher
up in the cortex.
short loop of Henle.
2. Juxtamedullary Nephron:-
15% of all nephrons in human kidney.